NPI | 1427071026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 005850) |
Additional Taxonomies | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: AZ 005850) |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AZ 005850) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2019-07-25 |